medical systems integration: “med-meets-it” dr. john zaleski director, siemens hs pre-market...
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Medical Systems Integration:
“MED-Meets-IT”
Dr. John ZaleskiDirector, Siemens HS Pre-Market Integration LabSiemens Medical Solutions Health Services
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©2004 Siemens Medical Solutions Health Services Corporation. All rights reserved
Maintaining and improving quality of care
while meeting the needs of an increasing patient population,
and ensuring that services are affordable
requires a change in the status quo: a revolution in healthcare
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©2004 Siemens Medical Solutions Health Services Corporation. All rights reserved
Why a revolution? Many factors drive this…
Occurrence of medical errors
Loss of staff
Increase in age, quantity of chronically ill patients
Basic tenets…
Seek out new methods, technologies that provide change incentive
Promote systems thinking by focusing on workflow, reduction in redundant and inefficient behaviors, methods
Establish repeatable and standards-based solutions that promote a “plug-and-play” approach to integration
Promote context-based access to information, to facilitate speed and patient safety
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©2004 Siemens Medical Solutions Health Services Corporation. All rights reserved
Hospital Integration:Current State
ClinicalInformationRepositories
Point of care
SeparateInformationRepositories
Workstation
Workstation
Workstation
IBM Compatible
Data
Data
Data
Data
Device-level h/w controllers;Proprietary communications interfaces; Fixed-format ASCII
Proprietary interfaces:–System-specific– Hospital-specific– Vendor-specific
Disjointed, Disparate Systems; “Sneaker Net”; Maintenance/support concerns; Few, consistently implemented
standards; Varying interface requirements
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©2004 Siemens Medical Solutions Health Services Corporation. All rights reserved
Hospital Integration:The Future State
Point of care
Enterprise-wide, clinical patient Information Repositories;
Anywhere/Anytime access to data;Wireless roaming; Location monitoring
WorkstationIBM Compatible Data
HL7 & Standards-based communications;Plug-and-play hardware; Common User interfaces
IBM CompatibleWorkstation
Common device interfaces; context-sharing enabled; common UI; Secure; Clinical and non-clinical data
available anywhere, anytime
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©2004 Siemens Medical Solutions Health Services Corporation. All rights reserved
Platform Integration: Syngo®, Soarian®, SIENET®
USPatterson,
Patterson, Maria L. Date of Birth: 02/06/1932
Imagery
Lab, Rx, MR
CPOE & Worklists
Reports
Monitoring
Flow sheets
…All integrated into onepatient-context-specific view
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©2004 Siemens Medical Solutions Health Services Corporation. All rights reserved
Bio
John Zaleski is with Siemens Medical Health Services (HS) and oversees the Siemens HS Pre-market Integration Lab. He is responsible for prototyping, developing, and validating connectivity between medical devices and Siemens health information systems. Professional experience comprises systems integration, hardware, software and systems architecture, software development, and clinical studies. Doctoral work has involved predicting weaning efficacy in mechanically ventilated coronary bypass patients. He received an Award for his part in helping develop, test, and field the Siemens ICA critical care solution (operational at half-a-dozen U.S. hospitals), and received the Siemens Health Services Innovations Award in 2003 & 2004 for the most patent disclosures filed within Health Services. He has over a dozen refereed articles in journals and symposia and has chaired panels at professional societies.